Payment can also be made on the IYC website at: https://invernessyachtclub.com/sail-payment

Refund Policy:

A full refund is granted if the student withdraws 14 or more days before the session starts. There may be a 50% refund if withdrawal precedes the beginning of class. No refunds are given once the class has started.

I have the following allergies, medical or special learning conditions (if none, say "None") *

Minors: If Participants of age 12-17 are to be included,please add the preceding information for them in the box below.

Emergency Contact #1: Name *

Emergency Contact #1: Phone *

Emergency Contact #1: email address

Emergency Contact #2: Name

Emergency Contact #2: Phone

How did you hear about IYC's Adult Sailing Lesson Program?

Parent or Guardian's Email Address

Email*

Confirm Email*

I will participate in the IYC Adult Sailing Lesson Program. I agree to indemnify and hold harmless the instructors and leaders of these programs, the Inverness Yacht Club and its Officers, Directors and Employees, and absolve them of any responsibility should an injury occur to me, notwithstanding any fault or neglect of any of them. I further agree to be responsible for and promptly reimburse the IYC for any damage that may be done to IYC boats or facilities used by me.
I further give permission for me to receive medical treatment from any licensed physician in the event of an emergency.

Selection required.*

No

Yes

I understand that acceptance of me as a student in the Adult Sailing Lesson Program of the Inverness Yacht Club is subject to the following. Note: All check boxes MUST be checked for your application to be considered.

The demonstrated ability of the student to pass a swimming qualification *

I understand

The requirement that the student must provide and wear a Coast Guard approved Type III life jacket. *

I understand

The student following the direction of the Program Instructors and Staff. *

I understand

The understanding that drugs or alcohol consumed before or during an Adult Sailing lesson will result in dismissal. *

I understand

Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.

Parent or Guardian's Name

First Name*

Last Name*

Phone*

Parent or Guardian's Date of Birth*

Parent or Guardian's Address

Current Address *

Summer Address (if different)

Summer Phone

IYC Member?*

No

Yes

Experience (check one) *

First-time or inexperienced sailor

Beginner (can steer, tack, jibe, and dock)

Intermediate (can rig and unrig boat, leave/return from dock/mooring, set a course)

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.